Evidence map›Paper›PMID 30714564›Full record

ArticleInternational psychogeriatrics2019

Unmet needs in community-living persons with dementia are common, often non-medical and related to patient and caregiver characteristics.

Betty S Black, Deirdre Johnston, Jeannie Leoutsakos, Melissa Reuland, Jill Kelly, Halima Amjad, Karen Davis, Amber Willink, Danetta Sloan, Constantine Lyketsos and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in International psychogeriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05406921 (Implementation of MIND at Home Program in Primary Care for People Living With Dementia), which is not on this map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05406921 nacompletednot on this mapstarted 2022, after this paper: background citation

Implementation of MIND at Home Program in Primary Care for People Living With Dementia: A Pilot Study

TypeinterventionalSponsorAmerican Medical Group AssociationRan2022 to 2024Enrolled410ConditionsDementiaArmsMIND at Home
3 · Its place in the literature

Who cites it

74 citing papers in PubMed.

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  6. Exploring the experiences and needs in everyday life of spouse carers of persons with dementia.International journal of qualitative studies on health and well-being · 2026
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  17. Unmet Needs in Dementia Care: The Predictive Role of Caregiver Challenges.International journal of geriatric psychiatry · 2025
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Betty S BlackDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Deirdre JohnstonDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jeannie LeoutsakosDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Melissa ReulandDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jill KellyDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Halima AmjadDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Karen DavisDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Amber WillinkDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Danetta SloanDepartment of Health Behaviors and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Constantine LyketsosDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Quincy M SamusDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2020 to 2026
$29.3M
The Johns Hopkins Alzheimer's Disease Resource Center for Minority Aging Research - Research Ed ComponentP30AG059298 · NIA · JOHNS HOPKINS UNIVERSITY · PI Joseph John Gallo, ROLAND J. THORPE · 2018 to 2026
$7.1M
Using Mixed Methods to examine disparitites in dementia-related needs and intervention responses to MIND at Home care coordination program among African American persons with dementia and their caregR01AG046274 · NIA · JOHNS HOPKINS UNIVERSITY · PI SAMUS, QUINCY MILES · 2014 to 2018
$3.6M
MEMORI Corps: A novel activity-based companion care program to benefit community-living persons with dementia, their families, and senior volunteersR01AG058586 · NIA · JOHNS HOPKINS UNIVERSITY · PI SAMUS, QUINCY MILES · 2018 to 2023
$3.5M
NIA NIH HHS P30 AG059298NIA NIH HHS P30 AG066507NIA NIH HHS R01 AG046274NIA NIH HHS R01 AG058586
6 · The paper itself

Abstract

objectiveUnderstanding which characteristics of persons with dementia (PWD) and their caregivers are associated with unmet needs can inform strategies to address those needs. Our purpose was to determine the percentage of PWD having unmet needs and significant correlates of unmet needs in PWD.

designCross-sectional data were analyzed using bivariate and hierarchical multiple linear regression analyses.

settingParticipants lived in the greater Baltimore, Maryland and Washington DC suburban area.

participantsA sample of 646 community-living PWD and their informal caregivers participated in an in-home assessment of dementia-related needs. MEASUREMENTS: Unmet needs were identified using the Johns Hopkins Dementia Care Needs Assessment. Correlates of unmet needs were determined using demographic, socioeconomic, clinical, functional and quality of life characteristics of the PWD and their caregivers.

resultsPWD had a mean of 10.6 (±4.8) unmet needs out of 43 items (24.8%). Unmet needs were most common in Home/Personal Safety (97.4%), General Health Care (83.1%), and Daily Activities (73.2%) domains. Higher unmet needs were significantly related to non-white race, lower education, higher cognitive function, more neuropsychiatric symptoms, lower quality of life in PWD, and having caregivers with lower education or who spent fewer hours/week with the PWD.

conclusionsUnmet needs are common in community-living PWD, and most are non-medical. Home-based dementia care can identify and address PWD's unmet needs by focusing on care recipients and caregivers to enable PWD to remain safely at home.

Indexed as

Health Services Needs and DemandAgedAged, 80 and overBaltimoreCaregiversCross-Sectional StudiesDementiaFemaleGeriatric AssessmentHumansIndependent LivingMaleMiddle AgedNeeds AssessmentQuality of Lifecaregiverscare recipientscommunity-livingdementiaunmet needs

Identifiers

PMID30714564
PMCPMC6679825

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.